? Project 3 The goal of this ethnographic study is to understand the cultural context of postpartum pelvic floor support following vaginal delivery, as experienced by Mexican-American and Euro-American women. Major risk factors for pelvic organ prolapse (POP), experienced primarily by parous women, include vaginal childbirth, family history, and age; some studies find an association with Hispanic heritage. Preventive measures have been understudied, in part because it is infrequent for women to visit a physician regarding symptoms of a vaginal bulge until the vaginal wall descends to or below the level of the hymen. Future advances in preventing pelvic floor disorders will only be achieved if research efforts are directed toward understanding the impact of early changes as well as the implementation context for preventive strategies. Currently, little is known about how women become aware of early changes in vaginal support and its meaning for them. Specifically, we are interested in the early occurrence of pelvic floor changes, how they are perceived, and how women come to understand these changes and respond to them. We will explore the experience inter- generationally by interviewing primiparous women and their intimate others (mothers, partners, sisters, confidants) regarding the transmission of cultural knowledge, including onset, prevention, management, and self-care, especially related to 1) inklings and understandings of early changes in vaginal support, 2) their interplay with physical activity, and 3) how to translate this knowledge into early detection, improved care, and quality of life.
In Aim 1 we use techniques of focused ethnography to describe Mexican-American and Euro-American women's experiences and cultural knowledge of postpartum pelvic floor support changes, including how early changes interplay with physical activity.
In Aim 2, the collective knowledge gained from the entire parent P01 and novel findings from this project will be compiled into a nationally-disseminated, web-based resource toolkit for women, their families, and clinicians. The toolkit will include a checklist of early pelvic floor changes that we will develop in English and Spanish and preliminarily validate in this study.
| Shaw, Janet M; Johnson, Danielle D; Nygaard, Ingrid E (2018) Engaging Undergraduate Kinesiology Students in Clinically-Based Research. Quest 70:292-303 |
| Saltzman, Hanna M; Egger, Marlene J; Bardsley, Tyler et al. (2018) Differences in Pelvic Floor Symptoms During Pregnancy Between Hispanic and Non-Hispanic White Women. Female Pelvic Med Reconstr Surg : |
| Hsu, Yvonne; Hitchcock, Robert; Niederauer, Stefan et al. (2018) Variables Affecting Intra-abdominal Pressure During Lifting in the Early Postpartum Period. Female Pelvic Med Reconstr Surg 24:287-291 |
| Clark, Lauren; Birkhead, Ana Sanchez; Fernandez, Cecilia et al. (2017) A Transcription and Translation Protocol for Sensitive Cross-Cultural Team Research. Qual Health Res 27:1751-1764 |
| Niederauer, Stefan; de Gennaro, Johanna; Nygaard, Ingrid et al. (2017) Development of a novel intra-abdominal pressure transducer for large scale clinical studies. Biomed Microdevices 19:80 |
| de Gennaro, Johanna Day; de Gennaro, Claire K; Shaw, Janet M et al. (2017) The Relationship Between Intra-Abdominal Pressure and Body Acceleration During Exercise. Female Pelvic Med Reconstr Surg : |
| Nygaard, Ingrid E; Clark, Erin; Clark, Lauren et al. (2017) Physical and cultural determinants of postpartum pelvic floor support and symptoms following vaginal delivery: a protocol for a mixed-methods prospective cohort study. BMJ Open 7:e014252 |
| Shaw, Janet M; Nygaard, Ingrid E (2017) Role of chronic exercise on pelvic floor support and function. Curr Opin Urol 27:257-261 |
| Nygaard, Ingrid E; Shaw, Janet M (2016) Physical activity and the pelvic floor. Am J Obstet Gynecol 214:164-171 |
